Organization
DOC 2 PATIENT HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONGWE KENKWA BASIL (CRNP)
(227) 218-9388
Entity
Organization
Contact information
Practice address
15017 NORTHCOTE LN, BOWIE, MD 20716-1044
(227) 218-9388
Mailing address
15017 NORTHCOTE LN, BOWIE, MD 20716-1044
(227) 218-9388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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